Provider Demographics
NPI:1851907497
Name:ACE JOVANOVSKI DMD PLLC
Entity Type:Organization
Organization Name:ACE JOVANOVSKI DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ACE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOVANOVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:512-716-1200
Mailing Address - Street 1:4010 SANDY BROOK DR STE 208
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1518
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4010 SANDY BROOK DR STE 208
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1518
Practice Address - Country:US
Practice Address - Phone:512-716-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental